JC Lighthouse

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

JC LIGHTHOUSE

Practice address

6490 S. McCarran Blvd
Building C Unit 21
Reno, NV 89509

Phone

(775) 825-7500

NPI assigned

Aug 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chandra Williams

Title

Ceo

Phone

(775) 825-7500

Specialties & licenses 1

Addresses

Other names 1

• JC Family Services Doing business as

Tax ID family

JC Lighthouse3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• JC Lighthouse

  • Mental Illness Community Based Residential Treatment Facility
  • Reno, NV
  • NPI 1386315091
  NPD tax ID
• JC Lighthouse

  • Respite Care
  • Reno, NV
  • NPI 1750889663
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1861168973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 S. MCCARRAN BLVD",
            "address_2": "BUILDING C UNIT 21",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-825-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S. MCCARRAN BLVD",
            "address_2": "BUILDING C UNIT 21",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "775-825-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-825-7500"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JC Erramouspe OD, PC
• JC Family Services
• JC Family Services
• JC Lighthouse
• JC Lighthouse
• JD Mental Health
• Raynald Jeanbaptiste
• Cloe Jade Jeans, PA-C
• Angela Jearman
• Jeff Chen, MD PLLC

• Foster Care Agency in Reno, NV
• Providers in Reno, NV by specialty
• Foster Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.